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Integrated Performance Report August 2014

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Integrated Performance Report August 2014 Southport & Formby Clinical Commissioning Group Integrated Performance Report August 2014 1 | P a g e Contents 1. Executive Summary ................................................................................................................................ 4 2. Referrals ................................................................................................................................................... 6 3. Planned Care ........................................................................................................................................... 8 3.1 All Providers ........................................................................................................................................... 8 3.2 Southport and Ormskirk Hospital NHS Trust .................................................................................... 8 3.3 Planned Care Key Issues ................................................................................................................ 9 3.3.1 Southport and Ormskirk Hospital NHS Trust ............................................................................... 9 3.3.2 The Royal Liverpool and Broadgreen University Hospitals NHS Trust .................................... 9 4. Unplanned Care....................................................................................................................................... 9 4.1 All Providers ........................................................................................................................................... 9 4.2 Southport and Ormskirk Hospital NHS Trust .................................................................................. 10 4.3 Unplanned Care Key Issues .............................................................................................................. 10 4.3.1 Southport & Ormskirk Hospital ....................................................................................................... 10 5. Mental Health ......................................................................................................................................... 11 5.1 Mersey Care contract ..................................................................................................................... 11 5.1.1 Key Issues ......................................................................................................................................... 11 5.2 Key Performance Indicator CPA follow up ................................................................................. 12 5.2.1 Improving Access to Psychological Therapies (IAPT) Inclusion Matters Sefton .................... 12 6. Liverpool Community Health Performance ........................................................................................ 13 6.1 Key Issues ............................................................................................................................................ 13 6.2 Third Sector Contracts ........................................................................................................................ 13 7. Quality and Performance ..................................................................................................................... 14 7.1 Southport & Formby CCG Performance Dashboard ................................................................. 14 7.2 Friends and Family – Southport and Ormskirk NHS Trust ....................................................... 19 7.3 Complaints ....................................................................................................................................... 19 7.4 Serious Untoward Incidents (SUIs) .............................................................................................. 21 7.4.1 NHS Southport and Formby CCG ................................................................................................ 21 7.4.2 Southport and Ormskirk Hospital NHS Trust ......................................................................... 21 2 | P a g e Tables Table 1 Patients waiting (in bands) on incomplete pathway for the top 5 providers. ........................ 7 Table 2 All Providers ....................................................................................................................... 8 Table 3: Month 4 Planned Care - Southport and Ormskirk Hospital................................................. 8 Table 4: Month 4 Planned Care - Southport and Ormskirk Hospital 13/14 – 14/15 Comparison ...... 9 Table E: Month 4 Unplanned Care - All Providers ........................................................................... 9 Table F: Month 4 Unplanned Care - Southport and Ormskirk Hospital NHS Trust ......................... 10 Table G: Month 4 Planned Care - Southport and Ormskirk Hospital NHS Trust 13/14 – 14/15 Comparison ................................................................................................................................... 10 Table H NHS Southport & Formby CCG – PBR Cluster Activity .................................................... 11 Table I- NHS Southport & Formby CCG Performance CPA follow up within 7 days of discharge from psychiatric inpatient care ....................................................................................................... 12 Table J NHS Southport & Formby CCG Performance CPA follow up within 2 days (48 hrs) for higher risk groups .......................................................................................................................... 12 Table K PHQ13_6 The Proportion of People who complete treatment who are moving to recovery ...................................................................................................................................................... 12 Table L Serious Untoward incidents NHS Southport & Formby CCG Patients by Trust ................. 21 Table M Reported Serious Untoward incidents - Southport and Ormskirk Hospital NHS Trust ...... 21 3 | P a g e Key information from this report 1. Executive Summary Cdifficile Target - Southport and Formby CCG This report provides summary information on the reported a year to date July 2014 figure of 15 activity and quality performance of Southport & cases against a tolerance of 13. There were 4 Formby Clinical Commissioning Group at August cases reported during the month of July 2014, 3 of 2014 (note: time periods of data are different for the 4 were at Southport and Ormskirk Hospital each source). NHS Trust (2 Acute and 1 Community) and 1 at Aintree Hospitals NHS Foundation Trust. Southport and Ormskirk Hospital NHS Trust has reported 3 new cases in July 2014, taking the cumulative total to 13 cases against a year to date tolerance of 9. All cases are undergoing Root Cause Analysis (RCA). MRSA - In July 2014, the first 2 cases of MRSA were reported for Southport and Formby CCG patients for 2014/15, this is against a tolerance of zero. Both cases have been recorded against Southport and Ormskirk NHS Trust, 1 Trust acquired and the other community. Southport and Ormskirk Hospital NHS Trust has recorded 1 case of MRSA in July 2014. A&E 4 hour wait - Southport and Formby CCG CCG Key Performance Indicators achieved this target cumulatively to July 2014 with 97.53% against the 95% target. Year to date, of NHS Constitution Indicators Footprint the 16,351 patients attending, 15,947 were seen Ambulance Category A Calls (Red 1) CCG within 4 hours. Performance cumulatively to July RTT 18 Week Incomplete Pathway CCG 2014 at Aintree University Hospitals NHS Cancer 2 Week GP Referral CCG Foundation Trust was below the target of 95% with Percentage of patients who spent 4 hours 91.88 %, a further fall from the figure recorded in or less in A&E CCG June (92.14%) 2014. Year to date, of the 39,091 Other Key Targets patients attending, 35,915 were seen within 4 Ambulance Category A Calls (Red 1) NWAS hours. Key actions are currently taking place to Ambulance Category A Calls (Red 2) CCG review this. Southport and Ormskirk Hospital NHS Trust achieved this target with performance Ambulance Category A Calls (Red 2) NWAS cumulatively to July 2014 at 97.30%, up from Ambulance Category 19 Transportation CCG 97.07% in June. MRSA CCG MRSA S&ORM Southport and Formby CCG have reported 6 C.Diff CCG mixed sex accommodation breaches year to date, C.Diff S&ORM July 2014. All breaches were recorded against Southport and Ormskirk Hospital NHS Trust. Cancer 2 Week Breast Symptoms CCG Cancer 31 Day Radiotherapy CCG Southport and Formby CCG did not achieve the Mixed Sex Accommodation CCG targets in all Ambulance Clinical Quality indicators Mixed Sex Accommodation S&ORM cumulatively at July 2014. For Category A (Red 1 and 2) 8 minute response time indicators. Please RTT 52 Week Waiters (Non-Admitted) S&ORM note the CCG is measured on the NWAS figures which are also under target for the above 2 indicators For Category 19 transportation time, performance was 90.11% for July, giving a year to date figure of 89.96%, below the 95% target. 4 | P a g e Provider Trust Performance Issues Continued …….. Cancer Targets - Maximum two-week wait for the first outpatient appointment for patients referred urgently with breast symptoms. In the year to date, June 2014 Southport and Formby CCG marginally failed to achieve target, recording 92.36%. Maximum 31-day wait for subsequent treatment where the treatment is a course of radiotherapy - Southport and Formby CCG achieved 100% during June 2014, but the year to date figure of 93.85% remains marginally
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